Robert John Tilley in Tigard - General Practice
Robert John Tilley - NPI 1114044393
Robert John Tilley is a General Practice in Tigard, Oregon. Robert John Tilley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert John Tilley is 1114044393. The last update date is 2012-11-02.
Robert John Tilley's current location address is 12720 Sw Pacific Hwy #1, Tigard, Oregon. You can contact this provider via phone number 5039746170 and fax number 5032087198. The mailing address for Robert John Tilley is 12720 Sw Pacific Hwy #1, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert John Tilley |
|---|---|
| Address | 12720 Sw Pacific Hwy #1, Tigard, Oregon |
| Phone Number | 5039746170 |
| Fax Number | 5032087198 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114044393 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2012-11-02 |
Provider Mailing Address Detail
| Address | 12720 Sw Pacific Hwy #1 |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972236125 |
| Phone Number | 5039746170 |
| Fax Number | 5032087198 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 14698 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identifier code issued to Robert John Tilley by the Centers for Medicare & Medicaid Services?
The Robert John Tilley has been assigned the NPI (National Provider Identifier) 1114044393 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Robert John Tilley's physical address?
The Robert John Tilley is physically located at 12720 Sw Pacific Hwy #1, in the city of Tigard, OR, with the postal code 972236125.
What is the Robert John Tilley's area of specialization and corresponding taxonomy classification?
The Robert John Tilley's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Robert John Tilley receive the assignment of its 1114044393 from the Centers for Medicare & Medicaid Services?
The Robert John Tilley was issued its 1114044393 by the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date were the details pertaining to Robert John Tilley last refreshed?
The information related to the Robert John Tilley, including its address, specialty, and other relevant details, was last updated on 2012-11-02.